A Transformative Anti-aging Treatment for the 21st Century

Carmel Valley Plastic Surgery

What is Broadband Light (BBL)?

  • Our Broadband light treatment in San Diego reduces many of the natural consequences of aging skin, including sun damage, freckles, age spots, and redness caused by broken capillaries and rosacea.
  • If brown spots are the target, the BBL will penetrate the skin to reach the melanocytes. The particles of the cells left behind will peel or slough off within 7-14 days.
  • If redness is the target, the BBL will penetrate to reach blood vessels in the deeper layers of the skin. The heat created by the light then damages the vessels and the body absorbs the destroyed vessel remnants.
  • An added benefit of BBL is the stimulation of collagen production. Collagen prevents sagging of the skin and the formation of lines and wrinkles.

Before & After

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How much downtime do I need?

How many treatments will I need?

How do I prepare for BBL?

What conditions can be treated with BBL?

What should I expect the day of my broadband light procedure?

What should I expect upon completion of the BBL?

How do I take care of my skin following the BBL?

How long will it take to recover?

When should I expect results?

How do I maintain my results?

How much downtime do I need?

Our Broadband light treatment in San Diego is performed at our San Diego offices with no downtime.

How many treatments will I need?

Subsequent treatments are based on your clinician’s recommendation. To obtain desired results, no less than 3 treatments spaced approximately 4 weeks apart should be scheduled.

A personalized plan will be created for your specific needs in order to give you the best overall results. This plan could include but is not limited to: multiple treatments, combination treatments, and/or treatments combined with products.

How do I prepare for BBL?

Please avoid using any cosmetic products (i.e. makeup, moisturizers, lotions, etc.) on the day of the procedure.

Please avoid direct sun exposure, tanning beds, and tanning lotions/sprays for 2 weeks prior to the procedure. Any exposure to these can increase the risk of burning due to the higher-than-expected light absorption.

Please discontinue the use of retinol products and skin brighteners (i.e. hydroquinone and non-hydroquinone products) 24 hours prior to the procedure.

**If retinol is a new product in your nightly skincare regimen, please discontinue the use of it 3 days prior.

Please discontinue any photosensitive antibiotics/medications 2 weeks prior to the procedure (these include but are not limited to tetracycline, doxycycline, Cipro).

BroadBand Light in San Diego does not have downtime, however, the pigment will appear darker for approximately 5-7 days before it starts to flake away. Be sure to schedule plans accordingly.

What conditions can be treated with BBL?

  • Pigmented lesions (e.g., freckles, age spots)
  • Vascular lesions (e.g., small blood vessels, broken capillaries)
  • Skin laxity
  • Uneven skin texture

What should I expect the day of my broadband light procedure?

Upon arrival at our San Diego location, you will be brought back to the laser room. Pre-procedure photos will be taken, consent for the procedure will need to be signed, and confirmation of pre-procedure instructions will be discussed. If pre-procedure instructions have not been met, the treatment may need to be rescheduled.

The procedure is then performed. The Zimmer may be used during treatment for comfort measures. The Zimmer assists in cooling the skin during and post-procedure.

What should I expect upon completion of the BBL?

Your pigmented lesions will appear darker and will continue to get darker over 24-48 hours following the treatment.

Your skin may appear red, slightly swollen, and have a mild sunburn sensation. This is a normal reaction. It can last from a few hours to a few days after treatment.

Sunscreen with at least 7% zinc oxide is applied to the treated areas at the end of the treatment.

How do I take care of my skin following the BBL?

Until sensitivity has completely subsided, avoid all of the following:

  • Use of scented lotions or soaps, exfoliant creams (Retin-A, glycolic/salicylic, and alpha-hydroxy acids), acne creams/gels, Clarisonic, loofa sponges, and aggressive scrubbing
  • Hot or cold water – wash with tepid water
  • Shaving
  • Swimming pools and spas with multiple chemicals/chlorine
  • Activities that cause excessive perspiration

*Cold compresses or ice packs may also be used to provide comfort if the treated area feels warm. This is typically only needed within the first 12 hours post-treatment.

*Vitamin E and aloe vera applied to the treatment area may provide a soothing effect. Post-treatment discomfort is typically minimal, but if there is discomfort, oral pain relievers; i.e. Extra Strength Tylenol or Advil may be used.

*Freckles and sunspots may turn slightly darker initially but will flake off within 7-14 days and should be allowed to come off naturally. This is a desired normal reaction. DO NOT PICK, RUB, OR FORCE OFF ANY SKIN DURING THE HEALING PROCESS. THIS COULD RESULT IN SCARRING AND HYPER/HYPOPIGMENTATION!

*Makeup may be applied immediately after the treatment as long as skin integrity has not been compromised.

*Strictly avoid any sun exposure to the treated area for a minimum of 7 days after the procedure. The treated area is more prone to sunburn and pigmentation changes.

*Keep the area covered and use a sunblock with a protection factor of 30+ and at least 7% zinc oxide or titanium oxide. Reapply every 2 hours. Delayed blistering secondary to sun exposure has been noted up to 72 hours post-treatment.

*If in the middle of a series of phototherapy treatments, sun exposure should be avoided between treatments and a sunblock should be used on a daily basis.

How long will it take to recover?

This is a noninvasive procedure with virtually no downtime. In most cases, you are able to return to work, apply makeup, and resume most activities immediately. It is important to remember that not everyone heals at the same speed and it would not be unusual if the healing process were to take longer.

You may resume your normal skin care regimen typically 24-48 hours after your procedure.

When should I expect results?

Most patients notice an improvement in pigmentation and redness within 7-14 days once the skin heals. However, for optimal results a minimum of 3 treatments spread approximately 4 weeks apart is still recommended.

How do I maintain my results?

For maintenance and to achieve the best results in BroadBand Light San Diego has to offer, optimal results, recommended products should accompany these treatments. These products include: growth factors, retinol, melanin suppressor, and sunblock with at least 7% zinc oxide or titanium oxide.

  • Growth factors: Proteins that stimulate collagen and elastin to help restore thickness and resilience to the skin over time.
  • Retinol: Speeds up the skin’s natural exfoliation process, therefore evening out discoloration, boosting collagen, and preventing thinning of skin, fine lines, and wrinkles.
  • Melanin suppressor: Evens skin color and tone by suppressing melanin production.
  • Sunblock: Prevents premature aging by protecting against both UVA and UVB rays.


Francine M.

"I had a vertical restore at age 65 with Dr Amir Karam. It has been a little over a year and I am delighted with the results. Some of my friends have not even noticed - I just look rested. Dr Karam will provide you with all the information and supplements that you need to make the procedure and the recovery time as comfortable as possible. I usually bruise very easily but with the supplements that were given to me prior to my procedure and afterwards, my bruises were gone within a week."

"I highly recommend Dr. Karam and would go back to him for anything I might want done in the future. I totally trust his approach and recommendations. You won't be disappointed!"

Kris R.

"I'm one month out from a Vertical Restore with Dr Karam. Dr Karam is an incredibly talented Surgeon. I can barely see my scars already. I also did a laser peel, within 8 days I was wearing makeup and admiring my new jawline and neck. I'm 65 this month and so happy I chose him. He is the best there is. His staff are fun, caring and kind. They made my entire experience so easy. I would not hesitate or even think about going anywhere else. Check out his Instagram account. He does all his content himself. Extremely informative, with many before and after photos. I decided on Dr Karam after researching his Instagram and had made my decision before we had even met."

Janice S.

"Dr Karam is a great surgeon, a true artist and a wonderful human being. He has done 2 procedures on me over the last 3 years. Both with excellent results. His fat transfer and his lip lift technique are extraordinary. I wouldn't think of going to anyone else and I would highly recommend him to anyone who is looking for the best."

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